Confront the staff member It is not the responsibility of the nurse to

Confront the staff member it is not the

This preview shows page 31 - 34 out of 55 pages.

Confront the staff member. It is not the responsibility of the nurse to discipline other staff members. Encourage the client to report the incident. This action takes the responsibility away from the nurse who has overheard the comments. Document the incident in the client's health record. The incident should not be documented in the client's health record. Report the occurrence to the charge nurse. MY ANSWER
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It is the charge nurse and the nurse manager's responsibility to confront the staff member about the derogatory comments made to the client. FLAG A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine? St. John's wort MY ANSWER St. John's wort is an herbal preparation that decreases the reuptake of serotonin. The nurse should advise the client that taking St. John's wort with another medication that also inhibits the reuptake of serotonin, such as paroxetine, places the client at risk for serotonin syndrome. Saw palmetto Saw palmetto is used to treat benign prostatic hyperplasia. It does not interact adversely with paroxetine. Echinacea Echinacea is used to enhance immune function. It does not interact adversely with paroxetine. Ginkgo Ginkgo is used to relieve pain from peripheral arterial disease. It does not interact adversely with paroxetine. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse administer first? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data.)
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EXHIBIT Diazepam 5 mg IV bolus MY ANSWER The greatest risk to the client who is experiencing alcohol withdrawal is seizures, an elevated heart rate, and elevated blood pressure. IV diazepam acts rapidly to prevent seizures, stabilize vital signs, and decrease the intensity of withdrawal manifestations. FLAG A nurse is obtaining a mental health history from an older adult client. Which of the following actions should the nurse plan to take? Raise the pitch of the voice when speaking to the client. The nurse should use a lower pitch of voice when speaking because older adult clients are typically able to hear words that are spoken with a lower pitch. Begin the interview by explaining the plan of care. The nurse should begin the interview by asking the client to identify their needs and concerns. This data is then used to create a personalized plan of care. Interview the client in a private setting. MY ANSWER The nurse should interview clients in a private place when asking questions regarding client health.
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  • Winter '17
  • Schizophrenia, Borderline personality disorder, Antisocial personality disorder, Avoidant personality disorder

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